Individual provider Active NPI

Anju Rastogi

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1033944236
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
259901 Issued in AZ
Practice address
2900 S Iowa St
Chandler, AZ 85286-3915
Phone
(803) 687-8758
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 259901 AZ Primary

Addresses

Primary practice location

2900 S Iowa St
Chandler, AZ 85286-3915

Mailing address

2900 S Iowa St
Chandler, AZ 85286-3915
Phone (803) 687-8758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007003765 AZ Practitioner - Nurse Practitioner 1153852744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

301 S Power Rd
Suite 103
Mesa, AZ 85206-5243
Phone (480) 610-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
259901AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Nov 4, 2024 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

3717 S Rome St
Ste 104
Gilbert, AZ 85297

301 S Power Rd
Ste 103
Mesa, AZ 85206
Phone (480) 325-7535

301 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 396-3500

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

Interoperability endpoints

  • Direct secure messaging: anju.rastogi.1@2697.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1033944236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S IOWA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852863915",
            "telephone_number": "803-687-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S IOWA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852863915",
            "telephone_number": "803-687-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "ANJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "259901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.